| Crystal Deitrick, MED, LPC | |
|
7095 Route 287, Wellsboro, PA 16901-6711 | |
| (570) 724-5272 | |
| Not Available |
| Full Name | Crystal Deitrick |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7095 Route 287, Wellsboro, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538932223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Harbor Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699754424 PECOS PAC ID: 3779856786 Enrollment ID: O20170913000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Deitrick, MED, LPC 7095 Route 287, Wellsboro, PA 16901-6711 Ph: (570) 724-5272 | Crystal Deitrick, MED, LPC 7095 Route 287, Wellsboro, PA 16901-6711 Ph: (570) 724-5272 |
Mr. Keith K. Koons, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7095 Route 287, Wellsboro, PA 16901 Phone: 570-724-5272 Fax: 570-724-4512 | |
Mrs. Doris A. Kyle, M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Main St Unit 3, Wellsboro, PA 16901 Phone: 570-723-1005 Fax: 570-723-1006 | |
Joelle Young, MS, LBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 | |
Jason R Fry, BSL/MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 | |
Mrs. Rosalind E. Statts, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7095 Route 287, Wellsboro, PA 16901 Phone: 570-724-5272 Fax: 570-724-4512 | |
Dr. Brian K Shrawder, PHD, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7095 Route 287, Wellsboro, PA 16901 Phone: 570-724-5272 Fax: 570-724-4512 | |
Kimberly Allen, LSW Counselor Medicare: Medicare Enrolled Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771 |